LAKESIDE PLACE INC NPI 1750056669

NPI Information

LAKESIDE PLACE, INC is a home health aide in Charlotte, NC. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. LAKESIDE PLACE, INC NPI is 1750056669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7210 LAKESIDE DRIVE, NORTH
CHARLOTTE, NC
ZIP 28215
Phone: (704) 563-1341
Fax: (704) 563-1341

The provider's authorized official is Marian Flowers Funderburk .
The authorized official title is President/owner and has the following contact phone number (704) 563-1341.

The enumeration date for this NPI number is 8/12/2021 and was last updated on 8/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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